Alyssa Huddleston, APN

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

APRN.CNP.022336 Issued in OH

Practice address

245 N Grant Ave
Columbus, OH 43215-2641

Phone

(614) 224-6617

NPI assigned

Mar 18, 2018

Last updated

Jul 17, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OH

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Lutheran Social Services of Central Ohio, Inc

  dba Health Center at Faith Mission

  • Federally Qualified Health Center (FQHC)
  • Columbus, OH
  • NPI 1801317102
  Medicare reassignment NPD Authorized official
• Lutheran Social Services of Central Ohio Inc

  dba LLS Health Center

  • Federally Qualified Health Center (FQHC)
  • Columbus, OH
  • NPI 1437621331
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1521331200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689552000000",
    "number": "1750884573",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "245 N GRANT AVE",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432152641",
            "telephone_number": "614-224-6617"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "245 N GRANT AVE",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432152641",
            "telephone_number": "614-224-6617"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUDDLESTON",
        "first_name": "ALYSSA",
        "credential": "APN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-03-18",
        "last_updated": "2023-07-17",
        "certification_date": "2023-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "APRN.CNP.022336",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Huckleberry House, Inc.
• James Huckleby Jr., LCDC III, RA
• Catherine Hudak, RPH
• Madeline Hudak
• Leasia Huddleston-Partlow, LSW
• Jay P. Hudgins, D.O., M.S.
• Nassera A Hudroge, RN
• Sharjean J Hudson-Waller
• Ashley Hudson
• Brielle Alexis Hudson, LISW

• Family Nurse Practitioner in Columbus, OH
• Providers in Columbus, OH by specialty
• Family Nurse Practitioner in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.